Developing a ‘moral compass tool’ based on moral case deliberations: A pragmatic hermeneutic approach to clinical ethics

Although moral case deliberation (MCD) is evaluated positively as a form of clinical ethics support (CES), it has limitations. To address these limitations our research objective was to develop a thematic CES tool. In order to assess the philosophical characteristics of a CES tool based on MCDs, we...

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Bibliographic Details
Authors: Hartman, Laura (Author) ; Molewijk, Bert 1966- (Author) ; Metselaar, Suzanne 1978- (Author) ; Widdershoven, Guy 1954- (Author)
Format: Electronic Article
Language:English
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Published: Wiley-Blackwell [2019]
In: Bioethics
Year: 2019, Volume: 33, Issue: 9, Pages: 1012-1021
IxTheo Classification:NCH Medical ethics
Further subjects:B Methodology
B Pragmatism
B ethics support tool
B theoretical reflection
B clinical ethics support
B Moral Case Deliberation
B Hermeneutics
Online Access: Presumably Free Access
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Volltext (doi)

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520 |a Although moral case deliberation (MCD) is evaluated positively as a form of clinical ethics support (CES), it has limitations. To address these limitations our research objective was to develop a thematic CES tool. In order to assess the philosophical characteristics of a CES tool based on MCDs, we drew on hermeneutic ethics and pragmatism. We distinguished four core characteristics of a CES tool: (a) focusing on an actual situation that is experienced as morally challenging by the user; (b) stimulating moral inquiry into the moral concepts, questions and routines in the lived experience of the CES tool user; (c) stimulating moral learning by exploring other perspectives; and (d) incorporating contextual details. We provide an example of a CES tool developed for moral dilemmas over client autonomy. Our article ends with some reflections on the normativity of the CES tool, other application areas and the importance of evaluation studies of CES tools. 
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